Evaluación del músculo ciliar y del grosor escleral anterior en miopes altos mediante tomografía de coherencia óptica
- José Ignacio Fernández-Vigo 23
- Susana Fernández-Aragón 23
- Lucía De-Pablo-Gómez-De-Liaño 34
- Cristina Fernández-Vigo 3
- Ignacio Almorín-Fernández-Vigo 1
- Julián García-Feijoó 2
- José Ángel Fernández-Vigo 35
- 1 Centro Internacional de Oftalmología Avanzada, Badajoz, España
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2
Hospital Clínico San Carlos de Madrid
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- 3 Centro Internacional de Oftalmología Avanzada, Madrid, España
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4
Hospital Universitario 12 de Octubre
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5
Universidad de Extremadura
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ISSN: 0365-6691
Year of publication: 2024
Volume: 99
Issue: 1
Pages: 16-22
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Purpose To assess ciliary muscle (CM) and anterior scleral thickness (AST) dimensions in vivo in high myopia using swept-source optical coherence tomography (SS-OCT) and to compare with emmetropic and hyperopic subjects. Methods Cross-sectional study that included 34 high myopic patients (≥ −6 diopters [D]), 90 emmetropes (−1 to +1 D) and 38 hyperopic patients (≥ +3.5 D). CM thickness (CMT) and AST were measured in the temporal and nasal quadrants at 1, 2, and 3 mm from the scleral spur using SS-OCT. In addition, the length of the CM (CML) was evaluated. Results The dimensions of the CML and the CMT at any of their measurement points were greater in high myopes and emmetropes than in hyperopes, both in the nasal and temporal quadrants (P < .001). However, there were no differences between high myopes and emmetropes for any of the parameters (P ≥ .076) except for the CMT at 3 mm in the temporal quadrant (P < .001). There were no differences in the AST between high myopes, emmetropes and hyperopes, in any of the measurement points or quadrants studied (P > .05). Conclusions The SS-OCT allows to measure the CM in vivo, not observing differences in its dimensions between high myopes and emmetropes, but they were smaller in hyperopes. In the measurement of the anterior sclera, no differences were observed between the three groups analyzed according to refraction.